HELEN HUNT HEALTH CENTER DENTAL CLINIC
NPI 1215183645
Clinic/Center - Dental in Old Town, ME

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

Active since August 18, 2008CLIA 20D0089640 · Waiver

242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 827-6128(207) 827-5533 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2018, Jan 19, 2018 (2 updates tracked since 2018).

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About Helen Hunt Health Center Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELEN HUNT HEALTH CENTER DENTAL CLINIC (NPI 1215183645) is a healthcare organization registered as a dental in Old Town, Maine and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1215183645

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER

Location Address242 BRUNSWICK STOld Town, ME 04468

Mailing Address1048 Union St, Suite 5Bangor, ME 04401-8600 · (207) 945-5247 · Fax (207) 947-0435

Phone(207) 827-6128

Fax(207) 827-5533

Organization SubpartYes

Authorized OfficialLori L. DwyerPresident & Ceo · (207) 404-8200

Enumeration DateAugust 18, 2008

Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration

✔ NPI 1215183645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

242 BRUNSWICK ST, Old Town, ME 04468

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Other Names 1

Doing Business AsHelen Hunt Health Center Dental Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D0089640

Helen Hunt Health Center · Old Town, ME

Active · expires Oct 11, 2026

CLIA Number20D0089640

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorJacqueline Molinero

Laboratory Phone(207) 827-6128

Laboratory LocationHelen Hunt Health Center242 Brunswick Street, Old Town, ME 04468

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY L MELANSON LCSW

Social Worker (Clinical)